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Community-Based Interventions to Prevent Childhood Agricultural Injury and DIsease

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  • Donna Drewes
    Thought some Councils might be interested in this. Donna Drewes Community-Based Interventions to Prevent Childhood Agricultural Injury and Disease Primary
    Message 1 of 1 , Jan 3, 2001
      Thought some Councils might be interested in this.
      Donna Drewes
      Community-Based Interventions to Prevent Childhood
      Agricultural Injury and
      Disease

      Primary Sponsor: Centers for Disease Control
      Deadline: 2/2/2001

      KEYWORDS

      RFA: OH-01-007

      National Institute for Occupational Safety and Health

      Letter of Intent Date: February 2, 2001
      Application Receipt Date: March 14, 2001

      PURPOSE

      The Centers for Disease Control and Prevention (CDC)
      announces the availability of fiscal year (FY)
      2001 funds for grant applications for research on
      evaluation of the effectiveness of currently used
      community-based interventions in reducing childhood
      agricultural injury and disease. Findings from
      these projects are intended to advance the scientific
      base of knowledge needed to maximize the
      safety and health of children exposed to agricultural
      production hazards.

      The research needs identified in this announcement are
      consistent with the National Occupational
      Research Agenda (NORA) developed by NIOSH and partners
      in the public and private sectors to
      provide a framework to guide occupational safety and
      health research in the new millennium towards
      topics which are most pressing and most likely to yield
      gains to the worker and the nation. The
      agenda identifies 21 research priorities. NORA
      priorities with specific relevance to this announcement
      are: traumatic injuries; special populations at risk;
      control technology and personal protective
      equipment; and intervention effectiveness research.
      Information about NORA is available through the
      NIOSH Home Page; http://www.cdc.gov/niosh/norhmpg.html.

      HEALTHY PEOPLE 2010

      NIOSH is committed to achieving the health promotion
      and disease prevention objectives of Healthy
      People 2010, a national activity to reduce morbidity
      and mortality and improve the quality of life. This
      program announcement is related to the focus area of
      Occupational Safety and Health and Injury and
      Violence Prevention. Potential applicants may obtain a
      copy of HealthyPeople 2010 at
      http://www.health.gov/healthypeople/.

      ELIGIBILITY REQUIREMENTS

      Applications may be submitted by domestic, public and
      private nonprofit and for-profit organizations
      and by government and their agencies; that is,
      universities, colleges, research institutions, hospitals,
      other public and private nonprofit and for-profit
      organizations, State and local governments or their bona
      fide agents, federally recognized Indian tribal
      governments, Indian tribes, or Indian tribal organizations,
      and small, minority, and women-owned businesses that
      meet the above criteria. Racial/ethnic minority
      individuals, women, and persons with disabilities are
      encouraged to apply as Principal Investigators.

      Applications are sought from organizations which work
      directly with implementing community-based
      interventions or which have the expertise to evaluate
      scientifically the effectiveness of their
      community-based childhood agricultural injury and
      disease prevention interventions. If such
      organizations do not have all of the needed expertise,
      they can partner with an entity such as an
      academic unit in a college or university to obtain the
      necessary expertise to conduct an intervention
      effectiveness evaluation. Applications lacking an
      existing or proposed link to an organization involving
      community-based activities will be considered
      nonresponsive to this RFA and will be returned to the
      applicant.

      Note: Public Law 104-65 states that an organization
      described in section 501(c)(4) of the Internal
      Revenue Code of 1986 which engages in lobbying
      activities is not eligible to receive Federal funds
      constituting an award, grant (cooperative agreement),
      contract, loan, or any other form.

      MECHANISM OF SUPPORT

      The mechanism of support will be the individual
      research project grant (R01). Responsibility for the
      planning, direction, and execution of the proposed
      project will be solely that of the applicant. The total
      requested project period for an application submitted
      in response to this RFA may not exceed three
      years.

      This RFA is a one-time solicitation. Future unsolicited
      competing continuation applications will
      compete with all investigator-initiated applications
      and be reviewed according to the customary peer
      review procedures.

      Approximately $600,000 is available in FY 2001 to fund
      three to four awards under this RFA. The
      maximum amount that may be requested is $200,000 total
      cost (direct plus facilities and
      administration) per year. Awards are expected to begin
      September 1, 2001.

      Awards will be made for a 12-month budget period within
      a project period up to three years.
      Continuation awards within the project period will be
      made on the basis of satisfactory progress and
      availability of funds in future years.

      Use of Funds

      Applicants should include in their budgets funds for
      one trip per year for an annual meeting of grantees
      to be held in Morgantown, West Virginia.

      PREAPPLICATION CONFERENCE CALL

      Applicants are invited by NIOSH to participate in a
      preapplication technical assistance telephone
      conference call on January 31, 2001 at 2:00 PM (Eastern
      time) to discuss: programmatic issues
      regarding this program, how to apply, and questions
      regarding the content of the RFA. The conference
      call name is Childhood Agriculture Intervention
      Program. The telephone bridge number is
      404/639-3277. Interested parties will need the
      conference code (492151) to participate.

      RESEARCH OBJECTIVES

      Background

      Agricultural production, which is most commonly
      identified with the occupation of farming, consistently
      ranks among the U.S. industries with the highest rates
      of work-related injuries and deaths, and is
      unique with respect to children and adolescents.
      Agriculture is the only major industry in which the
      workplace often encompasses the home. Exposures to
      agricultural production hazards are not
      confined to working adults. Children and adolescents
      may be exposed to agricultural production
      hazards not only through work activities, but by virtue
      of living on a farm or ranch, accompanying their
      parents to work, or visiting farms or ranches. Farm
      tractors, farm machinery, stored grain, power lines,
      manure pits, ponds, livestock, noise, agricultural
      chemicals, organic dusts, volatile organic
      compounds, and solvents are among the many injury and
      disease hazards to which youth are
      potentially exposed in agricultural production.

      Analysis of death certificates suggest that
      approximately 100 injury deaths occur on farms each year
      to youth 19 years of age and younger. These include
      deaths of youth who lived on the farm, visited the
      farm and or worked on the farm, but exclude
      transport-related and intentional fatalities. In 1998, as part
      of the Childhood Agricultural Injury Prevention
      Initiative, NIOSH, through the United States Department
      of Agriculture, conducted a childhood agricultural
      injury survey of 50,000 farm households. An injury
      was defined as any condition which occurred on the farm
      which resulted in at least four hours of
      restricted activity. An estimated 32,800
      agriculture-related injuries occurred nationally to children or
      adolescents under the age of 20 who lived on, worked
      directly for, or visited a farm in 1998.

      For several years, community-based interventions have
      been utilized to prevent childhood agricultural
      injury and disease. These interventions have typically
      consisted of the distribution of educational
      safety materials and information throughout a
      community, farm safety day camps, peer safety
      education and child care cooperatives. The following
      examples illustrate how increased interest and
      public/private funding in the area of childhood
      agricultural injury and disease prevention have resulted in
      community-based intervention activities:

      1) Farm Safety 4 Just Kids, a non-profit organization
      which works with community-based groups,
      whose mission is to promote a safe farm environment to
      prevent health hazards, injuries, and fatalities
      to children and youth, and

      2) the Progressive Farmer Foundation, a non-profit
      foundation whose mission is to reduce the
      incidence of agriculture-related injuries, illness and
      deaths by increasing the awareness of the
      potential dangers associated with specific farm and
      ranch practices, works to implement
      community-based interventions.

      Thus, many community-based interventions are in
      existence and continue to be utilized by
      communities which have agriculture production as a
      major economic base. With the family-based
      nature of farming, community-based efforts are often
      viewed as being the most appropriate
      interventions to implement. This is impacted by the
      fact that agriculture production often falls outside
      the regulatory framework and enforcement of federal and
      state agencies.

      However, rigorous research is needed to assess the
      effectiveness of community- based interventions
      which are currently being utilized for childhood
      agricultural injury and disease prevention. Though well-
      intentioned, educational programs are not always
      effective. Paradoxically, sometimes education
      programs can have an adverse impact by increasing
      exposure and/or creating a false sense of
      security among participants. Also, effectiveness
      evaluation should provide the ability to identify
      aspects of programs which are most effective that could
      be used for improving programs, and
      identifying the most effective programs for which to
      channel limited resources.

      Research Goals

      Community-based research seeks to enhance the capacity
      of communities to participate in the
      processes that shape research approaches and
      intervention strategies. Involvement of organizations
      within the community (that is (are) the focus of the
      study are essential components of the research.
      Thus, projects should be community-driven and
      community-responsive. Research efforts should
      reinforce collaborations between communities and
      scientists. Results generated by the research
      should be disseminated to community members in useful
      terms. This will mandate that all facets of
      the project design be culturally appropriate.

      Benefits of community-based research include:

      - The formation of bridges between scientists and
      communities that allow both to gain in knowledge
      and experience.
      - Better definition of a particular safety or health
      concern.
      - Assistance in development of culturally appropriate
      measurement instruments, thus making projects
      more effective and efficient.
      - Establishment of a level of trust that will enhance
      both the quantity as well as the quality of data
      collected.
      - The community gains more knowledge about safety and
      health problems; and has a role in
      addressing those problems.
      - Relationships are built that can have a longer term
      impact or influence on those problems.

      Research applications should include both process and
      outcome measures. Process measures
      should be detailed enough to allow for replication of
      the community-based intervention by other groups.
      Outcome measures of interest include, but are not
      limited to: exposure to injury hazards, knowledge
      of safety and health hazards, documentation of safety
      and health behavior change, and the incidence
      of childhood agricultural injuries. Research
      applications need to include a study plan that is designed
      to detect intervention effects relevant to the changes
      in outcomes of interest. Confounding variables,
      such as natural change, should be addressed, as well as
      the known limitations of the study plan.

      Applications should identify the types and geographical
      distribution of agricultural production which will
      be addressed, and the size and characteristics of child
      and adolescent populations which can
      potentially be impacted by the research findings. Each
      application should develop a comprehensive,
      strategic plan with time schedules and milestones to
      address all key aspects. This plan should
      include:

      - Identification of target community. Population(s)
      should be clearly identified, community boundaries
      described, and known injury hazards delineated.

      - Community collaboration. How will communication and
      regular exchange of information and ideas
      between community members and institutional researchers
      be initiated and enhanced? How are
      productive relationships with local representatives
      established and maintained? How are local
      organizations and leaders recruited? What are the
      mechanisms for communities to identify their
      environmental health needs? How will activities be
      designed to meet these needs? How will findings be
      disseminated within the community?

      - Research program definition and implementation. A
      variety of research designs may be proposed.
      Primary, secondary, or tertiary prevention strategies
      may be included. Interventions should be based
      on appropriate behavioral and scientific theories. They
      should also be built on the results of previous
      methods shown to be efficacious in changing risk
      factors related to knowledge, attitudes, and
      behaviors. Interventions should use multiple,
      culturally sensitive, community-based approaches and be
      adapted to the special needs of underserved
      populations.

      - Evaluation. Both outcome and process evaluations
      should take place. Only projects having well
      developed, comprehensive evaluation plans will be
      supported. The application must include detailed
      descriptions of process and outcome evaluation, specify
      the measures and instruments for data
      collection, and indicate a time frame for conducting
      all evaluation activities.

      USEFUL REFERENCES

      National Committee for Childhood Agricultural Injury
      Prevention. Children and Agriculture:
      Opportunities for Safety and Health. Marshfield, WI:
      Marshfield Clinic, 1996.

      (http://research.marshfieldclinic.org/children/action/title.htm)

      National Institute for Occupational Safety and Health.
      A Model for Research on Training Effectiveness.
      Cincinnati, OH: U.S. Department of Health and Human
      Services, Public Health Service, Centers for
      Disease Control and Prevention, National Institute for
      Occupational Safety and Health, DHHS (NIOSH)
      Publication No.96-115
      (http://www.cdc.gov/niosh/99-142.html).

      National Institute for Occupational Safety and Health.
      National Occupational Research Agenda.
      Cincinnati, OH: U.S. Department of Health and Human
      Services, Public Health Service, Centers for
      Disease Control and Prevention, National Institute for
      Occupational Safety and Health, DHHS (NIOSH)
      Publication No.96-115
      (http://www.cdc.gov/niosh/nora.html).

      Thompson NJ, McClintock HO. Demonstrating Your
      Program's Worth - A Primer on Evaluation for
      Programs to Prevent Unintentional Injury. Atlanta: GA:
      Centers for Disease Control and Prevention,
      National Center for Injury Prevention and Control,
      1998.
      (http://www.cdc.gov/ncipc/pub-res/demonstr.htm)

      HUMAN SUBJECTS REQUIREMENTS

      If a project involves research on human subjects,
      assurance (in accordance with Department of Health
      and Human Services Regulations, 45 CFR Part 46) of the
      protection of human subjects is required. In
      addition to other applicable committees, Indian Health
      Service (IHS) institutional review committees
      also must review the project if any component of IHS
      will be involved with or will support the research.
      If any American Indian community is involved, its
      tribal government must also approve that portion of
      the project applicable to it. Unless the grantee holds
      a Multiple Project Assurance, a Single Project
      Assurance is required, as well as an assurance for each
      subcontractor or cooperating institution that
      has immediate responsibility for human subjects. The
      Office of Human Research Protections (OHRP)
      negotiates assurances for all activities involving
      human subjects that are supported by the Department
      of Health and Human Services (Additional information is
      available at
      http://ohrp.osophs.dhhs.gov/index.htm).

      ANIMAL SUBJECTS REQUIREMENTS

      If the proposed project involves research on animal
      subjects, compliance with the PHS Policy on
      Humane Care and Use of Laboratory Animals by Awardee
      Institutions is required. An applicant (as
      well as each subcontractor or cooperating institution
      that has immediate responsibility for animal
      subjects) proposing to use vertebrate animals in
      CDC-supported activities must file (or have on file) the
      Animal Welfare Assurance with the Office of Laboratory
      Animal Welfare (OLAW) at the National
      Institutes of Health. The applicant must provide in the
      application the assurance of compliance number
      and evidence of review and approval (including the date
      of the most recent approval) by the Institutional
      Care and Use Committee (IACUC).

      INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING
      HUMAN SUBJECTS

      It is the policy of the CDC to ensure that individuals
      of both sexes and the various racial and ethnic
      groups will be included in supported research projects
      involving human subjects, whenever feasible
      and appropriate. Racial and ethnic groups are those
      defined in OMB Directive No. 15 and include
      American Indian or Alaska Native, Asian, Black or
      African American, Hispanic or Latino, Native
      Hawaiian or Other Pacific Islander. Applicants shall
      ensure that women, racial and ethnic minority
      populations are appropriately represented in
      applications for research involving human subjects. Where
      clear and compelling rationale exist that inclusion is
      inappropriate or not feasible, this situation must
      be explained as part of the application. This policy
      does not apply to research studies when the
      investigator cannot control the race, ethnicity, and/or
      sex of subjects. Further guidance to this policy
      is contained in the Federal Register, Vol. 60, No. 179,
      pages 47947-47951, and dated Friday,
      September 15, 1995.

      All investigators proposing research involving human
      subjects should read the UPDATED NIH
      Guidelines For Inclusion of Women and Minorities as
      Subjects in Clinical Research, published in the
      NIH Guide for Grants and Contracts on August 2, 2000

      (http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-048.html); a
      complete copy of the updated
      Guidelines are available at
      http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm.

      URLS IN NIOSH GRANT APPLICATIONS OR APPENDICES

      All applications must be self-contained within
      specified page limitations. Unless otherwise specified,
      internet addresses (URLs) should not be used to provide
      information necessary to the review because
      reviewers are under no obligation to view the Internet
      sites. Reviewers are cautioned that their
      anonymity may be comprised when they directly access an
      Internet site.

      LETTER OF INTENT

      Prospective applicants are asked to submit, by February
      2, 2001, a letter of intent that includes the
      number and title of the RFA, a descriptive title of the
      proposed research, the name, address, and
      telephone number of the Principal Investigator, and the
      identities of other key personnel and
      participating institutions. Although a letter of intent
      is not required, is not binding, and is not used in
      the review of an application, the information that it
      contains is used to estimate the potential review
      workload and avoid conflict of interest in the review.

      The letter of intent is to be submitted to:

      Price Connor, Ph.D.
      Office of Extramural Programs
      National Institute for Occupational Safety and Health
      Centers for Disease Control and Prevention (CDC)
      1600 Clifton Road, N.E.
      Building 1, Room 3070B, MS D-40
      Atlanta, GA 30333
      Telephone 404-639-2383; Fax 404-639-2196
      Email: spc3@...

      APPLICATION PROCEDURES

      Applicants must use Form PHS 398 (rev. 4/98).
      Application kits are available at most institutional
      offices of sponsored research and may be obtained from
      the Division of Extramural Outreach and
      Information Resources, National Institutes of Health,
      6701 Rockledge Drive, MSC 7910, Bethesda, MD
      20892-7910, telephone 301/435-0714, Email:
      grantsinfo@.... Application kits are also available at:
      http://www.nih.gov/grants/forms.htm.

      The RFA label available in the PHS 398 (rev. 4/98)
      application form must be affixed to the bottom of
      the face page of the application. Failure to use this
      label could result in delayed processing of the
      application such that it may not reach the review
      committee in time for review. In addition, the RFA
      title and number must be typed on line 2 of the face
      page of the application form and the YES box
      must be marked. Need to add sentence about pdf format.

      Submit a signed original of the application, including
      the Checklist, and three signed photocopies, in
      one package to:

      Center for Scientific Review (CSR)
      National Institutes of Health
      6701 Rockledge Drive, Room 1040 - MSC 7710
      Bethesda, MD 20892-7710
      Bethesda, MD 20817 (for express/courier service)

      At the time of submission, two additional copies of the
      application must also be sent to:

      Price Connor, Ph.D.
      National Institute for Occupational Safety and Health
      Centers for Disease Control and Prevention (CDC)
      1600 Clifton Road, N.E.
      Building 1, Room 3062, MS D-40
      Atlanta, GA 30333

      Applications must be received by March 14, 2001. If an
      application is received after that date, it will be
      returned to the applicant without review. CSR and NIOSH
      will not accept any application in response
      to this RFA that is essentially the same as one
      currently pending initial review, unless the applicant
      withdraws the pending application. CSR and NIOSH will
      not accept any application that is essentially
      the same as one already reviewed. This does not
      preclude the submission of a substantial revision of
      an application already reviewed, but such an
      application must follow the guidance in the PHS Form
      398 application instructions for the preparation of
      revised applications, including an introduction
      addressing the previous critique.

      SPECIAL REQUIREMENTS

      Since these projects are community-based and involve
      both research and dissemination, applicants
      are encouraged to create opportunities for information
      exchange between institutional researchers and
      community members. Therefore, applicants may generate a
      report that would describe community
      input, program implementation, and relevant findings
      that could be easily comprehended by the public.
      Applicants may budget for production and dissemination
      of such reports.

      REVIEW CONSIDERATIONS

      Upon receipt, applications will be reviewed for
      completeness by CSR and responsiveness by NIOSH.
      Applications determined to be incomplete or
      unresponsive to this RFA will be returned to the applicant
      without further consideration. Applications that are
      complete and responsive to the RFA will be
      reviewed for technical merit by a scientific review
      group convened by NIOSH.

      All applications will be judged on the basis of the
      scientific merit of the proposed project and the
      documented ability of the investigators to meet the
      RESEARCH OBJECTIVES of the RFA.

      Following the scientific review, competitive
      applications will be reviewed for programmatic importance
      by a NIOSH Secondary Review Committee.

      Scientific Review Criteria

      - Significance - Does this study address an important
      problem related to the topical research issues
      outlined in this announcement? If the aims of the
      application are achieved, how will scientific
      knowledge be advanced? What will be the effect of these
      studies on the concepts or methods that
      drive this field?

      - Approach - Are the conceptual framework, design
      (including composition of study population),
      methods, and analyses adequately developed,
      well-integrated and appropriate to the aims of the
      project? Does the applicant acknowledge potential
      problem areas and consider alternative tactics?

      - Innovation - Does the project employ novel concepts,
      approaches or methods? Are the aims original
      and innovative? Does the project challenge existing
      paradigms or develop new methodologies or
      technologies?

      - Investigator - Is the investigator appropriately
      trained and well-suited to carry out this work? Is the
      work proposed appropriate to the experience level of
      the principal investigator and other researchers, if
      any?

      - Environment - Does the scientific environment in
      which the work will be done contribute to the
      probability of success? Do the proposed experiments
      take advantage of unique features of the
      scientific environment or employ useful collaborative
      arrangements? Is there documentation of
      cooperation from industry, unions, communities, or
      other participants in the project, where applicable?
      Is there evidence of institutional support and
      availability of resources necessary to perform the project?

      The scientific review group will also examine the
      appropriateness of proposed project budget and
      duration; the adequacy of plans to include both
      genders, minorities and their subgroups, and children
      as appropriate for the scientific goals of the research
      and plans for the recruitment and retention of
      subjects; the provisions for the protection of human
      and animal subjects; and the safety of the
      research environment.

      The personnel category will be reviewed for appropriate
      staffing based on the requested percent effort.
      The direct costs budget request will be reviewed for
      consistency with the proposed methods and
      specific aims. The duration of support will be reviewed
      to determine if it is appropriate to ensure
      successful completion of the requested scope of the
      project.

      Secondary Review Criteria:

      - Magnitude of the problem in terms of numbers of
      workers affected.

      - Severity of the disease or injury in the worker
      population.

      - Likelihood of developing applied technical knowledge
      for the prevention of occupational safety and
      health hazards on a national or regional basis.

      AWARD CONSIDERATIONS

      Applications will be considered for award based upon
      (a) scientific merit, (b) program importance, (c)
      program balance, and (d) availability of funds.

      SCHEDULE

      Letter of Intent Receipt Date: February 2, 2001
      Application Receipt Date: March 14, 2001
      Anticipated Award Date: September 1, 2001

      INQUIRIES

      Inquiries concerning this RFA are encouraged. The
      opportunity to clarify any issues or questions from
      potential applicants is welcome. This RFA and other CDC
      Announcements can be found on the CDC
      HomePage (http://www.cdc.gov) under the Funding section
      (see Grants and Cooperative Agreements
      scroll down to Occupational Safety and Health). This
      RFA can also be found on the NIOSH
      HomePage (http://www.cdc.gov/niosh) under Extramural
      Programs, Current Funding Opportunities.

      Direct inquiries regarding programmatic issues to:

      Roy M. Fleming, Sc.D.
      Director, Research Grants Program
      National Institute for Occupational Safety and Health
      Centers for Disease Control and Prevention
      1600 Clifton Road, N.E.
      Building 1, Room 3053, MS D-30
      Atlanta, GA 30333
      Telephone: 404/639-3343
      FAX: 404/639-4616
      Email: rmf2@...

      Direct inquiries regarding grants management matters
      to:

      Joanne Wojcik
      Grants Management Branch
      Procurement and Grants Office
      Centers for Disease Control and Prevention
      2920 Brandywine Road, Suite 3000
      Atlanta, GA 30341-4146
      Telephone: 770/488-2717
      Email: jcw6@...

      LOBBYING RESTRICTIONS

      Applicants should be aware of restrictions on the use
      of HHS funds for lobbying of Federal or State
      legislative bodies. Under the provisions of 31 U.S.C.
      Section 1352, recipients (and their subtier
      contractors) are prohibited from using appropriated
      Federal funds (other than profits from a Federal
      contract) for lobbying congress or any Federal agency
      in connection with the award of a particular
      contract, grant, cooperative agreement, or loan. This
      includes grants/cooperative agreements that, in
      whole or in part, involve conferences for which Federal
      funds cannot be used directly or indirectly to
      encourage participants to lobby or to instruct
      participants on how to lobby.

      In addition, no part of PHS appropriated funds shall be
      used, other than for normal and recognized
      executive-legislative relationships, for publicity or
      propaganda purposes, for the preparation,
      distribution, or use of any kit, pamphlet, booklet,
      publication, radio, television, or video presentation
      designed to support or defeat legislation pending
      before the Congress or any State or local legislature,
      except in presentation to the Congress or any State or
      local legislature itself. No part of the
      appropriated funds shall be used to pay the salary or
      expenses of any grant or contract recipient, or
      agent acting for such recipient, related to any
      activity designed to influence legislation or
      appropriations pending before the Congress or any State
      or local legislature.

      AUTHORITY AND REGULATIONS

      The Catalog of Federal Domestic Assistance number is:
      93.262 for the National Institute for
      Occupational Safety and Health (NIOSH). This program is
      authorized under the Public Health Service
      Act, as amended, Section 301(a) [42 U.S.C. 241(a)], and
      the Occupational Safety and Health Act of
      1970, Section 20(a) [29 U.S.C. 669(a)]. The applicable
      program regulation is 42 CFR Part 52. This
      program is not subject to the intergovernmental review
      requirements of executive order 12372 or Health
      Systems Agency Review.

      SMOKE-FREE WORKPLACE

      CDC strongly encourages all grant recipients to provide
      a smoke-free workplace and promote the
      non-use of all tobacco products, and Public Law
      103-227, the Pro-Children Act of 1994, prohibits
      smoking in certain facilities that receive Federal
      funds in which education, library, day care, health
      care, and early childhood development services are
      provided to children.

      SMALL, MINORITY, AND WOMEN-OWNED BUSINESS

      It is a national policy to place a fair share of
      purchases with small, minority and women-owned
      business firms. The Department of Health and Human
      Services is strongly committed to the objective
      of this policy and encourages all recipients of its
      grants and cooperative agreements to take affirmative
      steps to ensure such fairness. In particular,
      recipients should:

      1. Place small, minority, women-owned business firms on
      bidders mailing lists.

      2. Solicit these firms whenever they are potential
      sources of supplies, equipment, construction, or
      services.

      3. Where feasible, divide total requirements into
      smaller needs, and set delivery schedules that will
      encourage participation by these firms.

      4. Use the assistance of the Minority Business
      Development Agency of the Department of Commerce,
      the Office of Small and Disadvantaged Business
      Utilization, DHHS, and similar state and local offices

      Donna Drewes
      North Jersey RC&D Council
      1322 Route 31 N Box 3
      Annandale, NJ 08801
      908-735-0733
      908-735-0744 fax
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